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HomeMy WebLinkAboutPermit Electrical 1994-6-23 . . SPRINGFIELD I , he __.. d0e8 not require epee zonlDll. ...... eppr.....eL {) 225 FIFTH STREET lonlng L-f){// SPRINGFIELD, OREGON 97477 ~~) >.,.-<1?f INSPECTION REQUEST: 726-37lI!L - \\\ ~ OFFICE: 726-3759 AulhOftZ*l SlIl"a1Ul9_ - . 3. COMPLETE FEE SCHEDULE BELOII 1./ _~O}l-QF Rl~~TION ~ ....\- \.Q"'--'\t_) \\'\.\1\~Q_\\0\})OOJ\ A. I ~rftj;~<f\PTION rio0(1) 0... JOB DE J.. \\ 1 iY\ \ Permits ar no if york is not of issuance or 180 days. -transfe able and expire started vithin 180 days if york is suspended for 2. CONTRACTOR INSTALLATION ONLY . Electrical Contractor Klvr> e-/e~-'R I G Address P,O, B 0)( City.1rF/J./ ()y Supervisor License Number ~u71 /01/ /r:r Constr Contr. Number ';:<0-/72 C. E~pir~ ~ion Date L 0.// J q 5- { ) ~ f? t:JtJA.d... .3 5""(, S' / 3/ :J l( 9 (p Signature or e sing Elec ician ~/ ~./ ;, o';;;~..( e r ~ 'NJ. Nro 0 :> Address l el\ -o. r\]\f'(), g i\~, ID(P 7 Phone 7:((P -9303 S Expiration Date City Phone OIlNER I~S~LATION . The installation is being made on property I ovn vhich is not intended for sale, lease or rent. OvnerSZign u .: ~ .-/ '.~ ~o'Y" ~.].~~'~ DATE~---~z?G-~lL"'3-.-q4~- RECEIPT 1I: ,.."j/ _. _-\ RECEIVED BY: \. /\l~ J,,::/ ELECTRICAL PERMIT APPLICATION Ci ty Job Number q4()~~'2- - ' Items * Cost Sum Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder not inCludett -Each installation ~r Pump or irrigation I $ 40.00 ~ Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ &500 ~- ~ ~-'u.L-.: One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% s~i~.:urch~ $ 35.00 $ 2.00 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' . . q -\D BS2..... JOB NUMBER BLOCK' TAX LOT: SUBDIVISION' ~\O'n) OWNER:~n\'r . ~~ .' '. PHON~' ADDRESS:\ of\C\\)~~~"t."\ CITY: ~~\.u:(\~dCS, . ~ STATE:~~~ DESCRIBE WORK: \ ~ )i\ lit\l~, \ ~ i \'t i -lU NEW REMODEL ~DDITION ~ OTHER CONTRAcrom~E!. j . In. GENERAL:~\~-'V PLUMBING' MECHANICAl' ELECTRICAl' ZIP: ~f 'f\ t ,p> 4mY6~ CONST, CONT~~9.R · ~2.~ EXPI~ rHO~ \0- \- ~'V'th V Ql1 QUAD AREA: l\R\\) f.J - OFFI\ US\ - LAND US~' \ \ FLOOD PLAIN' . OF BLDG~' · OF UNITS: ZONING CODE: OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT' WATER HEATER: RANG~' SQUARE FOOTAGE: TO request an Inspection, you must call 726.3769. This Is a24 hour recording. All Inspections requested before 7:00 a.m, will be made the same working day, Inspections requested after 7:00 a.m. will be mada the following work day. REQUIRED INSPECTIONS D Temporary Electric .. . D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover, D Footing - After trenches are excavated. D Masonry - Steel location, bond ,beams, grouting. ~OUndatlOn - After forms are erected but prior to 'concrete placement. ~dergrOUnd Plumbing - Prior ~o filling trench, ' D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking, D Floor Insulation - Prior \0 decking. D Sanitary Sewer - Prior to filling trench. (1t:;torm ~~er;: ~'f)l~ ~~ T trench. '-'\AJ', ","''''VI '. D Water Line - Prior to filling trench, D Rough Plumbing - Prior to cover. D Rough Mech~nlcat ...: Prior to cover. D Final Plumbing - When all plumbing work Is complete. D Rough Electrical - Prior to cover. . , . D Final Electrical - When all electrical work Is complete. D Electrical Service - Must be approved to obtain p~rmanent electrical power. :r ~:;., D Final Mechanical - When all mechanical work Is complete. ~nal BUilding - When all required Inspections have been approved and building Is completed, D Fireplace - Prior to facing materials and framing Insp. ~ra~lng - Prior to cover. t! m Wail/Ceiling Insul,atlon - Prior to cover. D'Olhar D Drywall - Prl,or to taping, MOBILE HOME INSPECTIONS D Wood Stove - Alter Installation. D Insert - After fireplace approvsl and Installation 01 unit. D Blocking and Set. Up - When all blocking Is complete. . D Curb cut & Ap'proach - After forms are erected but prior to placement of co~cret,e. D Plumbing Connections - When home has been connected to water and sewer. D Sidewalk & Driveway - After excavation Is complete, forms and"sub.base material In place. D Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Fen~e - When completed. D Streel Trees - When all required trees are planted. D Final - After all required Inspections are approved and porches, skirting, decks, and venting have been Installed. . Lot faces L~/~pe . "-~:., ""t';," .'." '.j 1":"",1' ..i'l,...I....I.lI...'ii".:. " ~~"' -,l I"l Topography Total height Panhandle Setbacks . I P.L HSE GAR ACC IN Is Iw ~- : (. THE PROPOSED WORK IN THE. . ....HiSTORiCAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permll Issuance, Lot sq. Itg. Interior Lot coverage Corner Cul-de-sac , APPROVEI" Garage Carport " BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permll Is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City. of Springfield, Including Ihe Development Code. regulating the construction and use 01 buildings, and may be suspended or revoked at any time upon violation of any provisions 0' said ordinances. BUILDING PERMIT ITEM sa. FT. x $/SO. FT, a VALUE M~ln Building Permll Fee State Surcharge ~ Plan Check Fee",,-. : Date Paid: ~.~ Receipt Number' . -\- \.\'\ \.q~ Received By: (A) L\ \.5'7 Plans Reviewed By Date ~ Total Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties wllhln the City IImlls which are being Improved. -~,- :' ADDITIONAL COMMENTS PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanllary Sewer FT. Water FT. Storm Sewer FT, ;Jspo Mobile Home Plumbing Permit State Surcharge Total Charge .'15 &590 J.a~ cv}. oV .. (C) MECHANICAL PERMIT Furnace Vent Fan N' By signature, I state and agree, that I have carefully examined the completed appllcallon and do hereby certify that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the Clly of Springfield, and the Laws of the State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify that only contractors and employees who are In compliance wllh ORS 701.055 will be used on this project. Exhaust Hood Wood StovellnserllFlreplace Unll Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (0) I further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from the atreet, that the permit card Is located at the front of the property, and the approved set of plans will remain tr~;;;49~ · Date ,6: ~/9!/ / . ( MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk Curbcut It It Demolition TOTAL AMOUNT DUE (excluding electrical) lA, B, C, 0. and E Combined) ~.~ VALIDATION: RECEIPT NUMBe.R \O~ DATE PAID \jl .f') q 4= ~ AMOUNT RECf{'f? ....~ I . \ob ~ RECEIVED BY ~ State Surcharge Total Miscellaneous Permits (E)